Pioneer House is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1993-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (916) 442-4906 or your local Medicaid office to verify current eligibility.

Pioneer House holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.5/100, placing it #6659 of 14703 facilities nationally and #716 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Pioneer House receives a reported average of 4 hours 6 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 42 minutes; Licensed Practical Nurse (LPN) — 51 minutes; Nurse Aide — 2 hours 33 minutes. On weekends, total nurse staffing is 3 hours 38 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 43.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Pioneer House with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. The facility has received 3 fine(s) over the 5-year period, totaling $1,960. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 109.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Pioneer House ranks 6659th out of 14,703 facilities (composite score: 73.5/100), placing it in the above average nationwide. Within CA, it ranks 716th out of 1,162 nursing homes. In Sacramento, it ranks 18th out of 22 facilities. For 2026 staffing: total nurse hours rank #4,191 nationally and RN hours rank #5,049 nationally (#291 in CA). Our composite quality score of 73.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sacramento, visit: https://nursinghomesnearme.org/california/sacramento/